Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $10,300.00	Facility		$950.00	$2,173.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $455.77 / $844.69	Professional		$322.25	$455.77	$844.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.42 / $410.05 / $596.40	Professional		$369.42	$410.05	$596.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.56 / $548.04 / $878.58	Professional		$341.56	$548.04	$878.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $541.86 / $1,631.69	Professional		$3.70	$541.86	$1,631.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $513.09 / $2,576.36	Professional		$2.52	$513.09	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,940.00 / $7,138.00	Facility		$1,282.00	$2,940.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.50 / $565.13 / $998.59	Professional		$445.50	$565.13	$998.59